Lecture Notes in Medical Informatics Edited by D. A B. Lindberg and P. L. Reichertz

5

Medical Informatics Berlin 1979

International Conference on Medical Computing Berlin, September 17-20, 1979 Proceedings

Edited by B. Barber, F. Gremy, K. Oberla and G. Wagner

Springer-Verlag Berlin Heidelberg New York 1979

Editorial Board,

J. Anderson, J. H. van Bemmel, M. F. Collen, K. Oberla, S. Kaihara, A. Levy, O. A. B. Lindberg (Managing Editor), H. Peterson, A. Pratt, P. L. Reichertz (Managing Editor), W. Spencer, C. Vallbona

Editors of this Volume

B. Barber North East Thames Regional Health Authority 40, Eastbourne Terrace London W2 3QR/Great Britain

K.Oberia Institut fOr Medizinische Informationsverarbeitung, Statistik und Biomathematik Ludwig-Maximilian-Universitat Marchioninistr. 15 0-8000 Munchen 70

F. Gremy . Oepartement de Biophysique et de Biomathematiques Universite Paris VI 91, boulevard de I'HOpital Paris 13eme/France

G. Wagner Institut fOr Ookumentation, Information und Statistik Oeutsches Krebsforschungszentrum 1m Neuenheimer Feld 280 0-6900 Heidelberg 1

ISBN-13:978-3-540-09549-1 e-ISBN-13:978-3-642-93120-8 001: 10.1007/978-3-642-93120-8

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher.

© by Online Conferences Ltd., Uxbridge, England 1979 Softcover reprint of the hardcover 1st edition 1979

2145/3140-543210

Preface

The HIB 79 Congress is the second one organized by the

European Federation for l-iedical Informatics (EFMI). The

host society is the "Deutsche Gesellschaft fur l-ledizinische

Dokurnentation, Informatik und Statistik (GMDS) who are

holding their 24th annual meeting at this time.

The program of MIB 79 covers every aspect of the application

of information science to medicine and public health, and

as such respresents the state of the art.

Medical Informatics (M.I.) is now at a turning pOint. To

date, despite the efforts made by specialists in many countries,

the balance sheet of M.I. remains rather poor. One of the

reasons for this situation is the fact that the computers of

yesterday were the prerogative of an elite of users. They

were expensive, difficult to use, remot.e from the users, and

mainly in the hands of a sacerdotal caste of data processing

speciali sts •

In the future, data processing facilities will be cheap, easy

to handle, and immediately accessible. Data processing will

have a chance of becoming truly democratic thanks to two

important and complementary trends in computer technology:

1. a network due to computer communication

partnership;

2. miniaturization due to the dramatic

expansion of micro-processor and

computer technology.

IV

The combination of these two main hardware achievements for

which some neologisms have been invented - "compunication" \

in the USA and "telEnnatique" in France - will lead to a

completely new way of processing data which may be called

"distributed informatics."

This progress in hardware will be accompanied by a less

spectacular but very significant progress in software.

New programming languages, new man-machine languages and

artificial intelligence techniques will allow the modelling

of very complex and highly dynamic systems.

The medical impact of all these technological advances cannot

be overestimated. Microprocessing, already helpful in the

field of medical instrumentation, will be appli'ed both in

the field. of prostheses - a tremendous promise for many

handicapped persons - and in the management of the small

individual data banks of medical practitioners. Distributed

informatlcs will permit consultation to take place at a

distance from the data and knowledge banks, etc. But the

main impact of data processing in medlcine will probably be

cultural rather than purely technological.

Medicine is currently passing through a crisis, its symptoms

being the trend towards more and more specialization, the universal failure of medical training, the spiraling costs

of health care not accompanied by any significant progress in health indicators for the population concerned.

At the root of this crisis we find the inflation of information,

the avalanche of knowledge and data. How to master information

is one of the main problems that modern medicine has to face.

Indeed, the medical way of reasoning has made no significant

progress since Laennec, and the gap between the increasing

volume of facts and the knowledge required to make use of them

is becoming broader and broader.

v

Information science can and will help to fill this gap,

providing medicine with effective ways to master information.

As a result of its demands on the intellect and its reliance

on logic, it will help to create a new and necessary medical

discipline, "methodology of medical action", and thus make a

major contribution to solving this part of the crisis of

modern medjcine.

This may lead to a very definite change in the intellectual

attitude of the medical profession which may become a

significant aspect of the cultural revolution that medicine

demands.

Berlin, July 1979 B. Barber

F. Gremy

K. liberIa

G. ~l1agner

List of Chairmen and Vice-chairmen

Session Title Chairmen and Vice-chairmen

A 1 Models of Health Care Systems

M. BOISVIEUX (France), R. HANSEN (Norway)

A 2 Teaching Medicine and l1edical Informatics

J. ANDERSON (UK), F. ROGER (Belgium)

A 3 Privacy

G. GRIESSER (Fed.Rep. of Germany), D. KENNY (UK)

A 4 Performance Evaluation

H. PETERSON (Sweden), R. THOME (Fed.Rep. of Germany)

A 5 Epidemiology

A. FERNANDES PEREZ DE TALENS (Italy), J. BRYDEN (UK)

A 6 Nursing Applications

J. MARTIN (France), B. NEDERKOORN (Netherlands)

A 7 General Practice

J.R. MOHR (Fed.Rep. of Germany), G.A.R. TEMMERMAN (Belgium)

A 8 Administrative Systems

C.T. EHLERS (Fed.Rep. of Germany), J. MATHIOT (France)

B 1 Monitoring

C. MARCHESI (Italy), C. ZEELENBERG (Netherlands)

B 2 Signal Processing

J.H. VAN BEKMEL (Netherlands), S. POEPPL (Fed.Rep. of Germany)

B 3 Laboratory

P. GR1:lNROOS (Finland), A.J. PORTH (Fed.Rep. of GeJ;many)

Session Title Chairmen and Vice-chairmen

B 4 Image Processing

D. CLARK (UK), P. BAUDHUIN (Belgium)

B 5 Papers of Special Interest

I. VAANANEN (Finland), J. MOSBECH (Denmark)

B 6 Computer Tomography and Radiotherapy

P. KOEPPE (Fed.Rep. of Germany), A. CHIESA (Italy)

B 7 Toxicology Databases and Drug Monitoring

P. DRAGSTED (Denmark), A. HOELEN (Netherlands)

B 8 Resources and Planning

B. BARBER (UK), W. SCHOLZ (Fed.Rep. of Germany)

C 1 Databases

J. VAQUt (Spain), K. SAUTER (Fed.Rep. of Germany)

C 2 Data Presentation

O. WIGERTZ (Sweden), H.-K. SELBMANN (Fed.Rep. of Germany)

C 3 Medical Methodology - I

F. GREMY (France), C.L. TUINSTRA (Netherlands)

C 4 Medical Methodology - II

A. BAKKER (Netherlands), R. O'MOORE (N. Ireland)

C 5 Microcomputer Applications

W. SCHNEIDER (Sweden), D. HIREL (France)

C 6 Medical Research

G. FUCHS (Fed. Rep. of Germany), A. VERVEEN (Netherlands)

C 7 Networks

M. J~RGENSEN (Denmark), E. PAUBOLD (Fed.Rep. of Germany)

C 8 Text Processing

F. WINGERT (Fed.Rep. of Germany), M. DE HEAULME (France)

VIII

Session Title Chairmen and Vice-chairmen

C 9

C 10

D

D 2

D 3

D 4

D 5

D 6

D 7

D 8

D 9

D 10

D 11

Document retrieval

G. WAGNER (Fed.Rep. of Germany), M. \\10LF-TERROINE (France)

Software Design

N. VICTOR (Fed.Rep. of Germany), S. SARGENT (UK)

Medical Decision Making

N. VICTOR (Fed.Rep. of Germany), F. GREMY (France)

Radiation Treatment

R.E. BENTLEY (UK), U. ROSENOW (Fed.Rep. of Germany)

Image Processing

D. RUTOVICZ (UK)

ECG-Analysis

J. MICHAELIS (Fed.Rep. of Germany)

Mathematical Modelling

M. MOISVIEUX (France)

Microprocessors

W. SCHNEIDER (Sweden)

Doctor's Office Systems

G. TEMMERMAN (Belgium)

Informatics for Medical Record Librarians

J. VELTHOVEN (Netherlands)

Citation Analysis - Methods and Results

O. NACKE (Fed. Rep. of Germany)

Signal Processing

J.H. BEMMEL (Netherlands)

Statistical Packages

M. SUND (Fed.Rep. of Germany)

IX

Session Title Chairmen and Vice-chairmen

D 12 User Research and System Design

P.L. REICHERTZ (Fed. Rep. of Germany)

E Teaching in Medical Informatics

J. ANDERSON (UK)

E 2 Privacy

G. GRIESSER (Fed.Rep. of Germany)

E 3 Laboratory Systems

A. PORTH (Fed.Rep. of Germany)

E 4 Data Collection for Epidemiology

A. FERNANDEZ PEREZ DE TALENS (Italy)

E 5 The Role of the Nurse

J. STREETER (UK)

E 6 Text Processing

M. DE HEAULME (France)

TABLE OF CONTENTS

Preface List of Chairmen and Vice-chairmen

COMMUNITY HEALTH CARE

Session A1: Models of Health Care Systems

BAILEY, N.T.J., DUPPENTHALER, J.L.:

Sensitivity analysis in infectious disease control

DUNN, T.L., HUGHES, N., LUCK, M., OVERTON, G.:

I-1odelling the mental health referral process

DE ROSIS, F., PIZZUTILO, S.:

Aspects of prevention and decentralization in health information systems: The case of Italy

KIND, P., ROSSER, R.:

Death and dying: Scaling of death for health status indices

Session A2: Teaching Medicine and Medical Informatics

ADLASSNIG, K.-P., LISCHKA, M.F.:

Lernen und Prlifen mit dem interaktiven computer-unters.tlitzten Unterrichtssystem ICUS: Beispiel "Anatomische Propadeutik"

INGRAM, D., DICKINSON, C.J., AHMED, K.:

The design of software for computer-assisted instruction, interview and assessment

MOHR, J.R., HOFMANN, J., LEVENL F.J.:

A specialized curriculum for medical informatics - review after 6 years of experience -

DdELIC, Gj.:

Educational problems in teaching health informatics to medical students

III VI

1-8

9-17

18-27

28-36

37-50

51-60

61-72

73-79

XI

Session A3: Privacy

GRIESSER, G., KENNY, D.J.:

Constructing guidelines for data protection in health information systems 80-82

SCHLORER, J.:

Statistical database security: Some recent results

KLAR, R., PIETRZYK, P.:

Datenschutzprobleme in einem Krankenhausinformationssystem

PETERSON, H., NIEl-U-JOHANSSON, B. -1. , LIND, A.-M., MELIN, 0., THURFORS, K.:

Improvements of a security system

Session A4: Performance Evaluation

CUNDY, A.D., NOCK, J.D.:

An assessment of the use of performance criteria in the evaluation of the NHS experimental computer programme

r.1AusON, G., CARLSSON, S., EDBLAD 1 L., GREEN, L., LINDELOW, B., PETERSON, H., UNDALL, B.:

Experiences from methods for examining effects of information systems - A case study

FRIEDRICH, H.-J.:

Versuch einer Kosten-Nutzen-Analyse in einem Modellgesundheitsarnt

SAUE~~N, Ch., HIRSCH, H., KASSNER, U.:

Kostenanalyse bei Einfuhrung der EDV irn klinischen Labor

83-91

92-105

106-116

117-130

131-139

140-155

156-165

XII

Session A5: Epidemiology

KEIL, U., ANDJELKOVICH, D., HUNT, E., SYMONS, M., TYROLER, H.A.:

A "case-control analysis within a cohort-study" about malignant lymphomas among rubber and tire industry workers

MARIOTTI, S., CAPOCACCIA, R., CORRADINI, P., FARCHI, G., GIAMPAOLI, S., MENOTTI, A., VERDECCHIA, A.:

A model for the prediction of expected effectiveness of a treatment using experimental data from an on-going preventive trial on CHD

BROSZIO, E.P., NAm4ANN, K.:

Ein Programmsystem fUr die Analyse von Assoziationsstrukturen

GRABNER, H., LEJHANEC, J., GRABNER, G.:

Die Auswertung der Mutter-Kind-Passe des Jahres 1976 in 6sterreich mittels EDV

Session A6: Nursing Applications

ASHTON, C.C., BRYANT, Y.M.:

A review of nursing systems in the United Kingdom

BUTLER, E.A., HOWARTH, M.A.:

A computer system for student nurse allocation during training

COLLINS, S.M., CUNDY, A.D., SHAH, A.R.:

A computer based record system for nursing-learners

HENNEY, C.R., BOSWORTH, CHRISSAFIS, I., CROOKS, J.:

Nurse allocation by computer

166-175

176-185

186-195

196-206

207-218

219-229

230-243

244-252

XIII

Session A7: General Practice

DOVE, G., GORDON I M., LUCAS, R. DE WARDENER, H.:

General-practice history-taking by computer: A "psychotropic" effect

TEl-IMERMAN, G.A.R. t PEUMANS, W.A.R.:

A modular integrated medical record for general practice

GEISS, E.:

Kosten-Nutzen-Effekte des EDV-Einsatzes in der Arztpraxis - Zwischenergebnisse aus dem Demonstrationsvorhaben DOl-lINIG II

REICHERTZ, P.L., MOHR, J.R., SCHWARZ, B., SCHLATTER, A., VON GAERTNER-HOLTHOFF, G., FILSINGER, E.:

Results of a field test of computers for the private practice

Session A8: Administrative Systems

EHLERS, C.Th.:

Probleme in der Entwicklunq und Einrichtung

253-260

261-272

273-282

283-294 ~

von Verwaltungssystemen* 295

HOLLAND-CUNZ, R.:

Das Gottinger Material-versorgungs-System - Betriebsablaufsteuerung per Dialog -

ELLS~SSER, K.-H., KOHLER, C.O.:

Krebsnachsorge mit rechnergestlitztem System

INMAN, D.:

Computer aided ambulance scheduling

*Paper could not be included

297-303

304-313

314-324

XIV

IMPACT OF INFORMATICS ON THERAPEUTIC DECISION

Session B1: Monitoring

LANDUCCI, L., MACE RATA , A., MARCHESI, C., CHIERCHIA, S., LAZZARI, M., MASERI, A.:

Real time computer based electrocardiographic and hemodynamic monitoring in CCU

GOH, A.E.S., RICHARDS, B.:

The use of computers in open-heart surgery

SABEAN, R., SCHILLINGS, H., EHLERS, C.Th.:

Computer support of therapy in intensive care

LAMBOTTE, L., BACHY, J. L., COL, J., MARCHAND, E., PIERART, M., SANSDRAP, J., VAN EYLL, C.:

A clinical and research oriented computerized patients monitoring system

Session B2: Signal Processing

HOFFERBERTH, B., SCHRODER, W.:

Ein Prograrnrnsystem zur automatischen Auswertung und Befundung von Elektronystagmograrnrnen

BRODDA, K., WELLNER, U.:

Untersuchungen zur ReliabiliUit von Husterer­kennungs-Algorithmen fUr die P-Wellen ortho­gonaler Elektrokardiograrnrne

BEDINI, L., FERNANDEZ PEREZ DE TALENS, A., GANDINI, S., LAY, M.:

Automatic parametrization of the rhythrnocardiograrn

325-339

340-344

345-352

353-358

359-365

366-372

in orthoclinostatic tests 373-383

DECOODT, P., TELERMAN, M., VANDERHOTEN, P., STOUPEL, E., PEPERSTRAETE, B.:

Usefulness of a small computer system in the analysis and the report of echocardiographic data

384-393

xv

Session B3: Laboratory

MIETH, I., PORTH, A.J.:

What about "turn key systems" for clinical laboratories?

DAVIDSON, J.M.F., WILLIAMS, K.N., ROBERTSON, V.S.:

Table driven and optical mark reading systems for clinical and laboratory applications

PORTER, D.M., INGRAM, G.I.C.:

Computer monitoring of haemophilic bleeds and their treatment

KUUSELA, V., LANG, A.H.:

Elimination of systematic variance in laboratory measurements and the P-value: A method for reporting laboratory results

Session B4: Image Processing

BaHM, M., NICOLAE, G.C., HaHNE, K.-H.:

Advanced hardware and software tools for analysis of multi temporal images in a clinical environment

HaHNE, K.-H., BaHM, M., NICOLAE, G.C., PFEIFFER, G., SONNE, B.:

The high resolution measurement and display of blood dynamics in organs such as the kidney and the liver by computer angiography

BALOCCHI, R., FERNANDEZ PEREZ DE TALENS, A., PIEROTTI, 0.:

A morphological approach to the study of regional left ventricular wall motion by means of a polygonal approximation method*

SAGEAUX, J.-C., CORSON, A., COHADON, F.:

Computer aid to stereotaxic neuro­surgery**

* Paper could not be included

**Only an abstract is included in the volume

394-413

414-426

427-434

435-444

445-451

452-459

46'j

463

XVI

Session B5: Papers of Special Interest

SIBLEY, W.L., HOPWOOD, M.D., GRONER, G.F., PALLEY, N.A.:

CLINFO: A study of data management and analysis in clinical research

DICKINSON, C.J., INGRAM, D., AHMED, K.:

A review of educational applications of a series of four models of Circulation, respiration, body fluids and electrolytes, and drug absorption and distribution

UNDALL, B., CARLSSON, S., EDBLAD, L., GREEN, L., LINDELOW, S., MANSSON, G., PETTERSSON, L.:

Methods for examining the effects of information systems. A frame of reference

DUNN, E., CONRATH, D., HIGGINS, C., ACTON, H., BAIN, H.:

An operational slow scan telemedicine system in a remote area

Session B6: Computer Tomography and Radiotherapy

LEMKE, H.U., STIEHL, H.S.:

Processing and representation of computed tomograms

GELL, G., KRISPEL, F.:

Computed tomography and three-dimensional planning in radiotherapy

BENTLEY, R.E.:

Computers in radiotherapy planning

464-470

471-478

479-483

484-488

489-503

504-510

511-519

XVII

Session B7: Toxicology Databases and Drug Honitoring

KUHN, H.:

Die Integration eines on-line-Hedika­mentensystems in den klinischen Ablauf und die Dokumentation an den Universi­tatskliniken G6ttingen*

HILLEBRAND, J.:

Ein Verfahren zur Arzneimittelliberwachung nach ihrer Zulassung

GERDAY, R., OSOROVITZ, I.:

A tool for the evaluation of experimental data: INSEru-1 data base in toxicology**

Session B8: Resources and Planning

SHAH, A.R.:

Siting of regional specialties

SCHULZ, K.:

EDV-gestlitzte Patientensteuerung und Bettenbedarfsplanung bei AnschluBheil­behandlungen in der BfA

HACHLEIDT, W., BAUER, H., LEHTOHIES, T.:

A report on the organisation of a sectorised system for psychiatric care. First empirical results

* Papier could not be included

**Only an abstract is included in the volume

521

523-528

529

531-542

543-548

549-558

XVIII

MEDICAL INFORMATICS - METHODOLOGY AND TECHNOLOGY

Session C1: Databases

TOU, J.T., DePREE, R.W.:

Medical consultation via telebrowsing

SAUTER, -K., KLONK, J., RIENHOFF, 0.:

Integrity problems within a database­supported patient information system

BERZUINI, C., GIRARDI, F., STEFANELLI, M.:

KIRON: A computer-assisted method for the management and the analysis of clinical data in the diagnosis of erythroid disorders

BONGERS, A., KOUWENBERG, J .M.L., BAKKER, A.R.:

Storage structure in a large database and an approach to multi-organisation usage

Session C2: Data Presentation

VEITH, J., SCHLAEFER, K.:

Datengesteuerte Arztbriefschreibung im Tumorzentrum Heidelberg/Mannheim

B6HM, M., RIEMER, M., H6HNE, K.-H.: Implementation of a relational data base system on top of a commercial DBMS

MEINZER, H.P.:

Easy generation of medical data forms

HESS, C.F., BRODDA, K., WELLNER, U.:

On the construction of optimum categories in biomedical data recognition problems

559-569

570-579

580-589

590-601

602-610

611-618

619-627

628-634

XIX

Session C3: Hedical ~lethodology - I

BURKHARDT, R.:

Entscheidbarkeitsverlust durch frequentistische Diagnosemodelle

LECLERC, A.:

Principal component analysis on distribution-free variables

CEDERBLAD, G., KAGEDAL, B., NORR, A., S5RBO, B., TEGLER, L., WIGERTZ, 0.:

Computer-assisted evaluation by multivariate reference region and cluster analysis as applied to serum thyroid hormones and thyrotropin

BRUNI, E. G. :

On the adverse effect of increasing the number of binary symptoms in medical diagnosis using the Kernel method

Session C4: Medical Methodology - II

GRAHAJ4, D.F., KENNY, G., WRIGHT, R.:

Computer diagnosis of acute abdominal pain

KISS IOV, V. T., ALADJEHOV, l-1. E. :

A method of determination of linear symptom combinations, applied to differential diagnosis between cerebral haemorrhage and infarction

SCHNABEL, H., THURMAYR, G. R., THURHAYR, R., SCH(jFFEL, J.;

Pfadfindung in einer Datenbank durch schritt­weise Kombination von Merkmalen

SILVESTRI, A., DE GIACOMO, P.:

A computerized laboratory for a systemic approach to relational psychotherapy

635-643

644-649

650-657

658-667

668-681

682-690

691-701

702-709

xx

Session C5: Microcomputer Applications

SCHNEIDER, W.:

Review of microcomputer applications in medicine*

SOMERVILLE, S., EVANS, C.R., POBGEE, P.J., BEVAN, N. S • :

MICKIE - Experiences in taking histories from patients using a microprocessor

DAVIS, P.D., KENNY, G.N.C., GRAHAM, D.F.:

Clinical application of a microprocessor in the surgical environment

APPEL, K., LARSSON, 0., MELANDER, L., SCHNEIDER, W., BILi.!S, B., HARJU, K., LUND, M., MARTIO, A., YLC5NEN, T.:

A microcomputer-based workstation for clinical chemical laboratories**

Session C6: Medical Research

WELLNER, U., BRODDA, K.:

Kriterien fUr die Auswahl von elektro­nischen Rechenanlagen fUr biomedizinische Forschungsinstitute

HABEru1EHL, A., GRASS, P.: Digitale Simulation zur Auswertung von nuklearmedizinischen ~lessungen am Jodstoffwechsel

D'ATHIS, P., BEAL, J.L., LAURIN, S., LASSAUNIERE, J .M.·, DUSSERRE, L.:

Statistical comparison of two anaesthetic techniques through patients' recovery

MILAN, J., MILAN, S.:

Digital standard MUMPS as a research tool for clinical oncology

* Papier could not be included

**Only an abstract is included in the volume

711

713-722

723-729

731

733-741

742-750

751-756

757-762

XXI

Session C7: Networks

MEYER-BENDER, B.A., GREILLER, R., HORBACH, L., LANGE, H.-J., SEIDEL, H., UBERLA, K.:

Interfaces in a computer network for the medical schools in Bavaria

KNUDSEN, N.:

An on-line hospital information system

FEDIDA, S., ROACH, M.E.:

Viewdata and its application to medical informatics

Session C8: Text Processing

COLES, E.C., SLAVIN, G.:

Experience of automatic coding of histopathology diagnoses

HENZLER, R.G.:

Analytical or algorithmic text processing in literature information systems

KRIER, N., BRECHENMACHER, H., GIERE, W., ROSSBACH, M.:

The writing of medical reports and documentation of findings at DOMINIG II*

FISCHER, R. -J. :

Automatische Schreibfehlerkorrektur in medizinischen Texten

GRIMM, W.-D., GRAICHEN, D.:

Darstellungsmittel der naturlichsprachlichen Kommunikation im Krankenhausinformationssystem

*Only an abstract is included in the volume

763-773

774-780

781-788

789-796

797-811

813

815-824

825-840

XXII

Session C9: Document Retrieval

KOSTREWSKI, B.J., ANDERSON, J.:

Structural considerations for the encoding of medical data: A formalism for medicine

SCHNEEMANN, R., STEUDTNER, C., SWERTZ, P.:

HECLINET - Specialized international documentation for the hospital care

KtiPCKE, W.:

Ein Dokumentationssystem fur die Gesundheitssystemforschung

HENZLER, R.G., SANDOR, L., WAGNER, G.:

Focal points and tendencies of cancer research. Bibliometric evaluations of the oncological world literature of the past ten years

Session C10: Software Design

SANDEWALL, E., JUNGERT, E., LtiNNE~, G., SUNNERUD, K., WIGERTZ, 0.:

A tool for design and development of medical data processing systems·

JAINZ, M., CARSTENSEN, K.:

The patient master record database. A compromise in software design with respect to the trade-off between data independence and performance

BELL, P.C., MOSS, N.B.:

Lessons from six years of using an interpretive language on a mini computer to run a hospital inpatient management system

DI GESU, V., SALEMI, S., CARACAUSI, F.P.:

A software package for a serum bank management

841-852

853-861

862-871

872-883

884-894

895-906

907-923

924-929

XXIII

KEYNOTE ADDRESSES

DANZIN, A.:

Information, entropy and evolution*

COHEN, R.D.:

Evaluation of computer systems in medicine

UBERLA, K.:

Methodological limitations in the analysis of medical activities*

ANDERLA, G.:

Euronet DIANE and the development of European data bases

REICHERTZ, P.L.:

Medical informatics - fiction or reality?

Index of Authors

*Papier could not be included

930

931-937

938

939-952

953-965

966-970